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Published on: July 5, 2024
Percutaneous mesenteric stenting followed by laparoscopic exploration for visceral malperfusion in acute type B
Norihiko Shiiya1, Akihiro Sawada, Eiichi Tanaka
1Department of Cardiovascular Surgery, Hokkaido University Hospital, Sapporo, Japan. shiyanor@med.hokudai.ac.jp
Abstract:
A 55-year-old man underwent percutaneous mesenteric and left renal stenting for malperfusion in acute type B aortic dissection. Laparoscopic exploration was performed immediately after percutaneous revascularization to ensure the integrity of the abdominal viscera. Because the diagnosis of mesenteric infarction may sometimes be difficult and its delay can be fatal, we advocate laparoscopic exploration as a mini-invasive method after percutaneous management of visceral malperfusion, if the integrity of the abdominal viscera needs to be verified.